Diagnostic Ultrasound - Abdomen and Pelvis

Cervical Carcinoma
(Left) Longitudinal
transvaginal ultrasound
demonstrates a large
hypervascular cervical
carcinoma ſt. Posteriorly,
there was less color flow .
The endometrium was normal
st. (Right) Axial CECT of the
same patient better shows
necrosis st in the tumor.
There is infiltration of the
parametrium ſt bilaterally,
not reaching the pelvic side
wall. No fat plane is seen
between the tumor and the
rectum ; however, the
rectal mucosa was not
involved.
Diagnoses: Female Pelvis
(Left) Sagittal transvaginal
ultrasound shows a lobulated
hypoechoic carcinoma
protruding from the posterior
cervix st. Gas was noted
within the tumor ſt
secondary to tumor necrosis.
(Right) Axial CECT of the same
patient shows the posterior
extent of the cervical
carcinoma st and pathologic
left pelvic adenopathy ſt.
(Left) Sagittal transvaginal
ultrasound shows that the left
pelvic node ſt is cystic
secondary to necrosis, not
uncommon in squamous
carcinoma. Be careful not to
misinterpret a node as an
ovary. (Right) Coronal oblique
T2 TSE MR parallel to the
endometrium shows an
eccentric cervical carcinoma
ſt extending into the vaginal
fornix st that contained gel
. Cystic foci are noted in the
tumor . Right external iliac
nodes were malignant.
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